| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Cont airway pressure device |
11,815 |
7,194 |
$437K |
| A7030 |
Cpap full face mask |
3,998 |
2,906 |
$295K |
| A7031 |
Replacement facemask interfa |
5,731 |
4,235 |
$185K |
| A7034 |
Nasal application device |
2,853 |
2,016 |
$112K |
| E0562 |
Humidifier heated used w pap |
620 |
477 |
$93K |
| A7035 |
Pos airway press headgear |
4,485 |
3,310 |
$68K |
| A7032 |
Replacement nasal cushion |
2,421 |
1,760 |
$67K |
| A7037 |
Pos airway pressure tubing |
3,975 |
2,936 |
$61K |
| A7038 |
Pos airway pressure filter |
13,069 |
9,854 |
$55K |
| E1390 |
Oxygen concentrator |
1,199 |
671 |
$48K |
| A4604 |
Tubing with heating element |
2,602 |
1,719 |
$39K |
| A7033 |
Replacement nasal pillows |
721 |
496 |
$17K |
| E0431 |
Portable gaseous 02 |
871 |
462 |
$5K |
| E0470 |
Rad w/o backup non-inv intfc |
39 |
24 |
$3K |
| A7046 |
Repl water chamber, pap dev |
14 |
12 |
$144.98 |